Fall Injury, Osteoporosis
Conditions
Brief summary
This study evaluates physiological measurements and their role in among falls in healthy elderly (65yr or older) or elderly suffering from osteoporosis. The study further seeks to evaluate if dancing can be used as training for preventing falls.
Detailed description
This study seeks to examine the relationship between strength, postural control and bone mineral density on the risk of falling among elderly (65 yr or older). The study will carried out on osteoporosis patients and healthy, matched controls. The study further seeks to examine whether a dancing intervention may improve any of these parameters, resulting in a decreased risk of falling.
Interventions
One hour of training, twice a week, for six months.
Sponsors
Study design
Eligibility
Inclusion criteria
Patient groups Inclusion Criteria: * Verified osteoporosis (T-score -2.5 to -3.5) from previous Dual-energy X-ray absorptiometry scanning (DXA) * Receiving medical treatment for osteoporosis
Exclusion criteria
* Drug addiction defined as the use of cannabis, opioids or other drugs. * Use of medical cannabis. * Previous neurologic, musculoskeletal (besides osteoporosis) or mental illnesses * Lack of ability to cooperate. * Osteoporosis grade higher than moderate or severe (T-score \< -3.5) Healthy elderly groups Inclusion Criteria: • T-score higher than -2.5 from previous Dual-energy X-ray absorptiometry scanning (DXA)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Falls | Changes from baseline at 6- and 18 months | Number of falls |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity rating: McGill Pain Questionnaire | Changes from baseline at 6- and 18 months | Pain on an 11-point numerical rating scale (0 = no pain, 10 = most intense pain imaginable), indicating pain areas on a body chart and filling out a McGill Pain Questionnaire |
| Physical Activity | Changes from baseline at 6- and 18 months | Evaluation of physical activity using the Physical Activity Scale for Elderly (PASE) questionnaire |
| Fitness assessment | Changes from baseline at 6- and 18 months | Evaluation of fitness using the Fullerton Functional Fitness Assessment. The test is a 6-item test. The score in each of the six tests is assessed separately and will not be used to provide a total score of the six tests. |
| Postural stability | Changes from baseline at 6- and 18 months | Postural sway measured using a high resolution three-dimensional force platform |
| Bone mineral density | Changes from baseline at 18 months | Bone mineral density (g/cm2) measured at spine (L1-L4) and hip, using a Hologic DXA scanner. |
| Gait variability | Changes from baseline at 6- and 18 months | Kinematic analysis of gait, recorded using the Xsens system |
| Cognitive function | Changes from baseline at 6- and 18 months | A n-back test is performed. Total number of substractions and number of mistakes made are evaluated. |
| Dynamical balance assessment | Changes from baseline at 6- and 18 months | Evaluation of the dynamical balance using the Mini-Balance Evaluation Systems Test (Mini-BESTest), which is a 14-item test, scored on a 3-level ordinal scale. The scale ranges from 0-28, with a higher score representing better dynamical balance. |
Countries
Denmark